3806 WETMORE AVE 2017-08-11 - Laserfiche WebLink

��c,�� r�a� �F moc��io� CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 � FAX 425-257-8857 � (E) everetteps@everettwa.gov � www.everettwa.gov/permits PROJECT SITE INFORfwAT10N PROJECT ADDRESS:� ��C��-i �,�—'� `tj �`��, BUILDING AREA(if residential, new construction, remodel, or addition) 4� C� � SF BUILDING TYPE: SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL USE OF BUILDING: � a � 'F=�� ELECTRICAL APPLICATION INFORMATION �. �. CONTRACT PRICE OF WORK: $ ��Z��----- NUMBER OF DEVICES (if low voitage): FIRE ALARM? ❑YES �NO ASSOCfATED BUILDING PERMlT#(if applicable): � DESCRIPTION OF WORK: ��. c� 677 (� C`� � C''�' � C` Q � �` 1 � �'a..�3 � �5-= G �-� � _-� � �_ �s' `� . � y�,,�S, C � � C. �- �-=� H� � C Y'c>'w' ��, c�.� , �;�L� b ' ^ -� CONTACT INFORMATION OWNER NAME: . � TENANT AME(If Commercial): OWNER MAILING DD ESS: s-rReET — L L � � ,/ : • �'� C-'/ CITY STATE^ �ZIP �� OWNER PHONE: �" Q�' � �O � OWNER EMAIL:� • � � C �`� � C�� _ . .. . . _ .. _ _ _ CONTRACTOR NAME: � j� .� �_C�('` � � CONTRACTOR ADDRESS: sTrteeT b � v � CITY S I � L� l"� / 1 STATE �fLi , ZIP� i� � CONTRACTOR PHON :�?� C> �� `f�Cti G� CONTRACTOR EMAIL: '� �f1�'- `�'' l�/ � �`� , C (�Y� CONTRACTOR LIC.#(REQUIRED): �� r�/ 1 � CITY OF EVERE INESS LIC.#(REQUIRED):C)J �l PRIMARY CONTACT: ❑OWNER CONTRACTOR ❑OTHER(Please S ecif�O CONT T NAME: -- CONTACT PHONE: ' � C; � ` —� �j 4 " ��—�(' �'J�i (,'�� CONTACT EMAIL: �^L}'c;� �- �j�',C'�',yy AGREEMENT.�T hereby that/irave read and examined this applicatron and know the same to be true and correc. ll rovisions of/aws and ordinances governing this type of work wrl!be complefed whether specified herein or not. The granting of a permif does not presume to give aufhority iolate or cancel the provisions of any other stafe or focal law regulafrng construcfion or the performance of consfruction. That I am aufhorized by the owner of this property fo pertorm the work for which application is made and l comply with the Sfate Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE �� — PERMIT# 4 �� ' �/' / N �v Y � \ 4� •_ � VL `J �� O ner Authorized Age t Signature Date (Revised 10/92/2015)